# FELCYNTH MAY DESTURA MARQUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740676345
- **Gender:** F
- **Credential:** NP, CNS, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 95001479 | CA | Yes |
| 364S00000X | Clinical Nurse Specialist | 4047 | CA | — |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015